,NSG 4552 EXAM 1 NURSING MANAGEMENT AND LEADERSHIP
Questions And Answers 2026/2027 South College
Q1. A newly appointed nurse manager is responsible for
coordinating staffing schedules, monitoring departmental
expenditures, implementing organizational policies, and evaluating
nursing care outcomes. Which responsibility most clearly
demonstrates the management function rather than the leadership
function?
A) Inspiring nurses to pursue professional development
B) Establishing a shared vision for improving patient care
C) Encouraging staff members to challenge ineffective practices
D) Organizing personnel, schedules, and resources to achieve established
departmental objectives
Correct Answer: D) Organizing personnel, schedules, and resources to
achieve established departmental objectives
Rationale: Management focuses on planning, organizing, staffing, directing,
and controlling resources to accomplish organizational objectives.
Coordinating schedules, personnel, and budgets reflects these operational
responsibilities. Leadership emphasizes influence, vision, motivation, and the
development of individuals and teams. Effective nurse managers must
demonstrate both leadership and management competencies.
Q2. A charge nurse identifies that nurses on the unit are reluctant
to report near misses because they fear criticism from supervisors.
The charge nurse encourages open discussion, models transparent
reporting, and collaborates with the team to improve safety
practices. Which leadership competency is most directly
demonstrated?
A) Exercising formal authority without employee participation
B) Influencing team behavior through trust, role modeling, and a shared
commitment to patient safety
C) Maintaining existing practices regardless of identified concerns
D) Transferring responsibility for safety entirely to individual employees
,Correct Answer: B) Influencing team behavior through trust, role modeling,
and a shared commitment to patient safety
Rationale: Leadership involves influencing individuals and groups toward
common goals. By promoting psychological safety, modeling transparent
behavior, and encouraging collaboration, the charge nurse supports a culture
of learning. This approach can improve communication and encourage early
identification of patient safety hazards.
Q3. A nurse manager is developing a plan to decrease patient falls
on a medical-surgical unit. The manager establishes measurable
objectives, identifies required resources, determines
implementation timelines, and assigns responsibilities. Which
management function is primarily demonstrated?
A) Planning
B) Controlling
C) Disciplining
D) Evaluating
Correct Answer: A) Planning
Rationale: Planning involves establishing objectives and determining the
actions, resources, and timelines necessary to achieve them. It provides
direction for other management activities. Evaluation and controlling occur
as progress is monitored and corrective actions are considered.
Q4. A hospital introduces a new patient-centered care model. A
nurse leader explains the purpose of the change, encourages staff
participation, and helps nurses understand how the new approach
supports professional nursing values. Which distinction between
leadership and management is best illustrated?
A) Leadership depends exclusively on formal supervisory authority.
B) Management and leadership are identical organizational functions.
C) Leadership emphasizes influencing people toward a shared purpose, while
management emphasizes coordinating systems and resources.
D) Management is unnecessary when employees are motivated.
, Correct Answer: C) Leadership emphasizes influencing people toward a
shared purpose, while management emphasizes coordinating systems and
resources.
Rationale: Leadership focuses on vision, influence, motivation, and change.
Management provides structure through planning, organizing, staffing, and
performance monitoring. Both functions are essential in nursing because
successful organizational change requires employee commitment and
effective operational coordination.
Q5. A nurse manager reviews monthly quality reports and discovers
that medication administration errors have increased over three
consecutive months. The manager compares current performance
with established safety standards and initiates corrective measures.
Which management function is being performed?
A) Staffing
B) Organizing
C) Delegating
D) Controlling
Correct Answer: D) Controlling
Rationale: Controlling involves monitoring organizational performance,
comparing results with expected standards, and taking corrective action
when necessary. Reviewing medication error trends and implementing
improvements reflects this function. Effective control systems support
accountability and continuous quality improvement.
Q6. A nurse manager is responsible for developing an organizational
structure that clarifies reporting relationships, distributes
responsibilities, and coordinates nursing activities. Which
management function is most directly involved?
A) Organizing
B) Evaluating
C) Motivating
D) Coaching
Correct Answer: A) Organizing
Questions And Answers 2026/2027 South College
Q1. A newly appointed nurse manager is responsible for
coordinating staffing schedules, monitoring departmental
expenditures, implementing organizational policies, and evaluating
nursing care outcomes. Which responsibility most clearly
demonstrates the management function rather than the leadership
function?
A) Inspiring nurses to pursue professional development
B) Establishing a shared vision for improving patient care
C) Encouraging staff members to challenge ineffective practices
D) Organizing personnel, schedules, and resources to achieve established
departmental objectives
Correct Answer: D) Organizing personnel, schedules, and resources to
achieve established departmental objectives
Rationale: Management focuses on planning, organizing, staffing, directing,
and controlling resources to accomplish organizational objectives.
Coordinating schedules, personnel, and budgets reflects these operational
responsibilities. Leadership emphasizes influence, vision, motivation, and the
development of individuals and teams. Effective nurse managers must
demonstrate both leadership and management competencies.
Q2. A charge nurse identifies that nurses on the unit are reluctant
to report near misses because they fear criticism from supervisors.
The charge nurse encourages open discussion, models transparent
reporting, and collaborates with the team to improve safety
practices. Which leadership competency is most directly
demonstrated?
A) Exercising formal authority without employee participation
B) Influencing team behavior through trust, role modeling, and a shared
commitment to patient safety
C) Maintaining existing practices regardless of identified concerns
D) Transferring responsibility for safety entirely to individual employees
,Correct Answer: B) Influencing team behavior through trust, role modeling,
and a shared commitment to patient safety
Rationale: Leadership involves influencing individuals and groups toward
common goals. By promoting psychological safety, modeling transparent
behavior, and encouraging collaboration, the charge nurse supports a culture
of learning. This approach can improve communication and encourage early
identification of patient safety hazards.
Q3. A nurse manager is developing a plan to decrease patient falls
on a medical-surgical unit. The manager establishes measurable
objectives, identifies required resources, determines
implementation timelines, and assigns responsibilities. Which
management function is primarily demonstrated?
A) Planning
B) Controlling
C) Disciplining
D) Evaluating
Correct Answer: A) Planning
Rationale: Planning involves establishing objectives and determining the
actions, resources, and timelines necessary to achieve them. It provides
direction for other management activities. Evaluation and controlling occur
as progress is monitored and corrective actions are considered.
Q4. A hospital introduces a new patient-centered care model. A
nurse leader explains the purpose of the change, encourages staff
participation, and helps nurses understand how the new approach
supports professional nursing values. Which distinction between
leadership and management is best illustrated?
A) Leadership depends exclusively on formal supervisory authority.
B) Management and leadership are identical organizational functions.
C) Leadership emphasizes influencing people toward a shared purpose, while
management emphasizes coordinating systems and resources.
D) Management is unnecessary when employees are motivated.
, Correct Answer: C) Leadership emphasizes influencing people toward a
shared purpose, while management emphasizes coordinating systems and
resources.
Rationale: Leadership focuses on vision, influence, motivation, and change.
Management provides structure through planning, organizing, staffing, and
performance monitoring. Both functions are essential in nursing because
successful organizational change requires employee commitment and
effective operational coordination.
Q5. A nurse manager reviews monthly quality reports and discovers
that medication administration errors have increased over three
consecutive months. The manager compares current performance
with established safety standards and initiates corrective measures.
Which management function is being performed?
A) Staffing
B) Organizing
C) Delegating
D) Controlling
Correct Answer: D) Controlling
Rationale: Controlling involves monitoring organizational performance,
comparing results with expected standards, and taking corrective action
when necessary. Reviewing medication error trends and implementing
improvements reflects this function. Effective control systems support
accountability and continuous quality improvement.
Q6. A nurse manager is responsible for developing an organizational
structure that clarifies reporting relationships, distributes
responsibilities, and coordinates nursing activities. Which
management function is most directly involved?
A) Organizing
B) Evaluating
C) Motivating
D) Coaching
Correct Answer: A) Organizing
